Radionuclide therapy in neuroendocrine tumors

Wouter A. Van Der Zwan, Lisa Bodei, Jan Mueller-Brand, Wouter W. De Herder, Larry K. Kvols, Dik J. Kwekkeboom

Research output: Contribution to journalArticle

Abstract

Peptide receptor radionuclide therapy (PRRT) is a promising new treatment modality for inoperable or metastasized gastroenteropancreatic neuroendocrine tumors (GEPNETs) patients. Most studies report objective response rates in 15-35% of patients. Also, outcome in terms of progression free survival (PFS) and overall survival compares very favorably with that for somatostatin analogs, chemotherapy, or new, 'targeted' therapies. They also compare favorably to PFS data for liver-directed therapies. Two decades after the introduction of PRRT, there is a growing need for randomized controlled trials comparing PRRT to 'standard' treatment, that is treatment with agents that have proven benefit when tested in randomized trials. Combining PRRTwith liver-directed therapies or with targeted therapies could improve treatment results. The question to be answered, however, is whether a combination of therapies performed within a limited time-span from one another results in a better PFS than a strategy in which other therapies are reserved until after (renewed) tumor progression. Randomized clinical trials comparing PRRT with other treatment modalities should be undertaken to determine the best treatment options and treatment sequelae for patients with GEPNETs.

Original languageEnglish
Pages (from-to)R1-R8
JournalEuropean Journal of Endocrinology
Volume172
Issue number1
DOIs
Publication statusPublished - Jan 1 2015

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

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  • Cite this

    Van Der Zwan, W. A., Bodei, L., Mueller-Brand, J., De Herder, W. W., Kvols, L. K., & Kwekkeboom, D. J. (2015). Radionuclide therapy in neuroendocrine tumors. European Journal of Endocrinology, 172(1), R1-R8. https://doi.org/10.1530/EJE-14-0488